Active NPI
Thomas Jenry Safley III, M.D.
- Surgery Physician
- Independence, MO
National Provider Identifier
1346293230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R5477
- Practice address
- 17221 E 23Rd St S
Suite 207
Independence, MO 64057-1803 - Phone
- (816) 373-4646
- Fax
- (816) 373-7831
- NPI assigned
- May 19, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R5477 | MO | Primary |
Addresses
Primary practice location
17221 E 23Rd St S
Suite 207
Independence, MO 64057-1803
Mailing address
17221 E 23Rd St S
Suite 207
Independence, MO 64057-1803
Phone (816) 373-4646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21577 | Other | MO | BNDD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5477 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Surgical Clinic, Inc. | Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/6816
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Independence, MO
- NPI 1144348012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346293230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17221 E 23RD ST S",
"address_2": "SUITE 207",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571803",
"telephone_number": "816-373-4646",
"fax_number": "816-373-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17221 E 23RD ST S",
"address_2": "SUITE 207",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571803",
"telephone_number": "816-373-4646",
"fax_number": "816-373-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFLEY",
"first_name": "THOMAS",
"middle_name": "JENRY",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "R5477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "21577",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.